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Jack Hacksaw
08 Nov 17 10:38
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Date Joined: 08 Jan 02
| Topic/replies: 5,322 | Blogger: Jack Hacksaw's blog
What hope is there for the NHS.  In recent months have had two friends/relatives in hospital.

One was in his late 70's some infection he could not get rid of.  Was in hospital for 9 months of the last 12 months of his life.  Apparently £400 a day for the cost of a hospital bed = £110k

Other in his early 70's and has been having cancer treatments for 5 years.  Chemo, radiotherapy, more chemo...  Slowly deteriorating and in great, constant pain.  Can't believe he has many more months to live.  Fell over recently and broke his femur due to being riddled with cancer, also his wrist, in a fall.  Had 5 hour operation and got a titanium rod in his leg.  Now out of hospital and in a rehab unit.

Probably 20 years ago these two would have died.  Earlier, but with less pain...less stress.  For themselves and their families.

And it can only get worse.

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Replies: 96
By:
ericster
When: 08 Nov 17 10:47
It's a tough call JaHa.
By:
Ramruma
When: 08 Nov 17 10:47
It has got worse. Since Harold Shipman, doctors are more wary than ever about giving mild overdoses of painkillers that might ease the suffering or even passing of terminally ill patients.

Prolonging someone's death is not the same as prolonging their life -- except now it is.
By:
ericster
When: 08 Nov 17 10:49
Every one is looking over their shoulder. How about giving the poor s od on the trolley a say.
By:
CLYDEBANK29
When: 08 Nov 17 11:07
If someone wants to end their life let them end it.  Extend liberty and freedom of choice to that basic right and stop living in the dark ages.  We did it with gay rights. 

Life expectancy in the UK

1960 71.1
1970 72.0
1980 74.0
1990 75.9
2000 77.7
2010 80.4
2015 81.6
By:
ericster
When: 08 Nov 17 11:09
I totally agree 29.
By:
STUDYFORM
When: 08 Nov 17 11:10
The year on year cuts to beds, hospitals and actual medical staff for the last 40 years have ruined the NHS.
By:
Dr Crippen
When: 08 Nov 17 11:19
They do their best.
By:
anxious
When: 08 Nov 17 11:35
Liverpool care pathway
By:
ericster
When: 08 Nov 17 12:00
Like I said, it's a tough call but let people be eh?
By:
Danno
When: 08 Nov 17 13:00
NHS was set up to get people who become ill, better.

Now, the majority of the demand on it comes as a result of people's lifestyle choices.  Either directly (eg, pi$$ed up people clogging A&E), or more frequently indirectly (eg, mobility problems and pains, or organ malfunction due to a lifetime of poor diet, no exercise, drinking, smoking etc).

Until the onus is shifted as much onto the patient to take some responsibility for their own health, as it is on the NHS to make people better, then nothing will improve.  People's sense of entitlement when it comes to the NHS is quite breathtaking.
By:
ericster
When: 08 Nov 17 13:07
Absolutely Danno.
Not to mention the violent abuse that A&Es  have to put up with.
By:
InsiderTrader
When: 08 Nov 17 13:28
STUDYFORM
08 Nov 17 11:10
Joined: 26 Jan 05
| Topic/replies: 17,357 | Blogger: STUDYFORM's blog
The year on year cuts to beds, hospitals and actual medical staff for the last 40 years have ruined the NHS.

More money than ever is going into the NHS.

I see it as doing a great job.

In terms of expenditure as a percentage of GDP the UK gets good value for money.
By:
InsiderTrader
When: 08 Nov 17 13:29
The only big problem area is GPs getting clogged up.

Population has gone up massively, everyone goes to the GP more often, because its free people miss appointments.
By:
lfc1971
When: 08 Nov 17 13:38
don't believe those life expectancy figures 1960-71 etc
150 years ago life expectancy in Britain was 74-76
By:
lfc1971
When: 08 Nov 17 13:45
I think people spent longer in hospital in the 60s than now also .
By:
lfc1971
When: 08 Nov 17 13:48
Now there are 1.4milion people employed in the health service, isn't that incredible,
for our population, last time I looked most people were not in hospital
What are these 1.4 million people doing ?
By:
lfc1971
When: 08 Nov 17 13:56
In 1950 there were 150, 000 people employed in the health service , now it's 1.4 million.
By:
lfc1971
When: 08 Nov 17 13:59
I don't think the solution is for the NHS to start killing people.
By:
lfc1971
When: 08 Nov 17 14:04
Take a look around, the vast majority of British people are perfectly healthy, there are millions of us who do not go near a hospital or doctor for years .
There are millions of healthy people, and 1.4 million working in the health service.
By:
Jack Hacksaw
When: 08 Nov 17 14:05
The NHS was about getting people better.  Now it is about keeping them alive.
By:
lfc1971
When: 08 Nov 17 14:07
Well they are not very successful in that.
By:
lfc1971
When: 08 Nov 17 14:09
these are the facts, in Britain in middle of the 19th century about 150 years ago,the average life exectency was about 74 for a man and a little more for a woman.
By:
Jack Hacksaw
When: 08 Nov 17 14:14
source?
By:
InsiderTrader
When: 08 Nov 17 14:14
Jack,

Somethings you can not be made better from.

e.g. being HIV or having a heart condition.

However the NHS can keep people alive from those conditions more now than a few years ago. Those people can live relatively normal lives now without ever being cured.

What are you suggesting happens to those people?
By:
Jack Hacksaw
When: 08 Nov 17 14:18
Of course, some people go onto have a good life.

The cases I described don't/didn't, but my point was that it is not a feasible model, financially, so something will have to be change.
By:
InsiderTrader
When: 08 Nov 17 14:19
lfc,

I dont think your numbers are right.

Residents in England and Wales over the age of 85 has risen from just over 1 million in 2001 to 1.25 million in 2011 and is growing fast.
By:
lfc1971
When: 08 Nov 17 14:21
I read about it many years ago, it surprised me.,
But it is because the usual figures are skewed by children dying very young then
A family of 5 and 2 or more children could die , and if was not uncommon for mothers to die in childbirth
So this brought the average down which is misleading
Then once someone reached the age of 18 and worked in an average industrial or farming or clerical job they could expect to live to pretty much the same age as people today.
By:
ericster
When: 08 Nov 17 14:21
The tourism isn't helping imo.
By:
lfc1971
When: 08 Nov 17 14:28
Insider trader it doesn't matter what age people live to , they work until they are 65 and pay into the health service
The important thing is that they might start work at 16 and work and pay tax or not as the case is more likely to be now .'
This is the vital period of time , this is when the money is paid into the health service

Now a person is going to have to get ill and die at some age , if it is 80 or 75?is meaningless
However if someone dies at a younger age , say 50, and hasnt left college and started work until they are almost 30
or may be unemployed
Then you have a problem
That is the problem, not people living longer.
By:
ericster
When: 08 Nov 17 14:30
And too many time-wasters.
By:
lfc1971
When: 08 Nov 17 14:30
65 is the important age , and what happens up and until that age.after that age it doesn't matter what age we live to
By:
lfc1971
When: 08 Nov 17 14:32
If course if we have milions if people who have not paid into the health service , that's something else again
Is it millions of people? yes.
By:
dave1357
When: 08 Nov 17 15:02
@lfc

An article about the issue

Life span is usually measured by life expectancy at birth, which is highly influenced by deaths at young ages, so recently ONS has been investigating other measures of average life span. For example, the late modal age at death is solely influenced by adult mortality and consequently much more sensitive to improvements in mortality among the older population. Modal age at death has emerged as a particularly useful measure for analysing mortality at older ages and alongside life expectancy at birth and possibly median age at death, can help us to understand the ageing that is characteristic of the population of England and Wales.

https://www.ons.gov.uk/peoplepopulationandcommunity
/birthsdeathsandmarriages/deaths/articles/mortalityinenglandandwales/2012-12-17

This table (from the link above) somewhat supports your theory (up to the last century) ie the most common age to die stayed much the same, but the high infant/child mortality reduced the population. 

Figure 5: Number of Deaths by Age from the Period Life Tables for England and Wales, Males

But there has clearly been a substantial increase in longevity in the last couple of decades if modal age of death is the measure used.
By:
lfc1971
When: 08 Nov 17 15:13
ah yes thanks dave , it's a surprising thing.
By:
Injera
When: 08 Nov 17 15:51
A relative of mine was on a total of 5 different wards in 2 hospitals. She's old. Now there used to be a geriatric ward in hospitals. Doesn't seem to be the case now.

Why? Cos nearly everyone on those 5 wards was old. And as I wandered thru the hospitals I was amazed how few young people were there. It's obvious of course but as Jack says the NHS is keeping people alive rather than curing them.

The cost to prolong peoples' lives in hospital beds and nursing homes must be billions. The overrall NHS budget is about £110Bn. I reckon a large portion of that goes to the over 60s.

Quite a dilemma and not sure what the answer is. I think we need to pay more and certainly OAPs who are still tax payers should pay for prescriptions etc.
By:
Dr Crippen
When: 08 Nov 17 16:05
A big factor in shortening the life span of people was industrial disease.

We haven't got those industries killing people any more.
By:
CLYDEBANK29
When: 08 Nov 17 18:09
Matthew Syed comparing the health care industry to the aviation industry. 

https://www.youtube.com/watch?v=MmVCYqs3mko
By:
Sica Dan
When: 08 Nov 17 18:54
The population of the UK  since 2000 has increased by approx 5% that was not planned
for,that must have had an impact on the NHS.
By:
InsiderTrader
When: 08 Nov 17 19:05
Sica,

How can you say that when without workers from overseas the NHS would collapse.
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